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What are the most important issues in balancing cost, quality, and access? What are the ways to solve or overcome these issues?

DISCUSSION 10.1 : Cost, Quality and Access

Question: Considering what you have learned this week, what are the most important issues in balancing cost, quality, and access? What are the ways to solve or overcome these issues? Please support your answers with credible evidence. 

READ

Fisher, Goodman, Skinner, Bronner – Health Care Spending, Quality, and Outcomes- More Isn’t Always Better

  • Reduce the cost of quality healthcare

https://www.policyed.org/perspectivesonpolicy/reducing-cost-health-care/video

Read:

  • Berwick, D., & Fox, D. M. (2016). “Evaluating the Quality of Medical Care”: Donabedian’s Classic Article 50 Years Later. The Milbank Quarterly94(2), 237–241.

https://doi.org/10.1111/1468-0009.12189

  • The Agency for Healthcare Research and Quality 

https://www.ahrq.gov

  • Institute for Healthcare Improvement 

http://www.ihi.org/

  • Di Mattina, Jennifer W. MS; Pronovost, Peter J. MD, PhD; Holzmueller, Christine G. BLA Transdisciplinary Teams Spur Innovation for Patient Safety and Quality Improvement, Quality Management in Health Care: April/June 2017 – Volume 26 – Issue 2 – p 124-125 doi: 10.1097/QMH.0000000000000125
  • Improving Outcomes Important to Patients

https://www.pcori.org/

·                     Social Determinants of Health

https://www.healthypeople.gov/2020/topics-objectives/topic/social-determinants-of-health

Read:

  • Hopps, M., Iadeluca, L., McDonald, M., & Makinson, G. T. (2017). The burden of family caregiving in the United States: work productivity, health care resource utilization, and mental health among employed adults. Journal of multidisciplinary healthcare10, 437–444.

https://doi.org/10.2147/JMDH.S135372

  • Understanding the demographic characteristics and health of medically uninsured patients, Shannon Bunn, Patrick Fleming, Damian Rzeznikiewiz, Fok-Han Leung, Canadian Family Physician Jun 2013, 59 (6) e276-e281;

https://www.cfp.ca/content/cfp/59/6/e276.full.pdf

https://doi.org/10.2105/AJPH.2018.304922

  • Bal B. S. (2009). An introduction to medical malpractice in the United States. Clinical Orthopedics and related research467(2), 339–347.

https://doi.org/10.1007/s11999-008-0636-2

Review:

Levine, R.A. (2012).  The ACA and Access to Care http://themoderatevoice.com/the-aca-and-access-to-care/

Fuchs, V.R. (2008).  Three “inconvenient truths” about health care. New England Journal of Medicine 359(17), 1749-1751. Retrieved from http://www.nejm.org/doi/pdf/10.1056/NEJMp0807432

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